aquablation and retro ejaculation

Yes, I believe the issue is solved. I saw the urologist a week after the procedure (still peeing blood at that time), and again 6 weeks later when I voided to only 4ml retained- which for me was unheard of.
I have a 6 month follow-up in late September, so looking forward to finding out if I’m still good then for voiding.

The biggest change since that last urology appointment is that I am no longer having any major issues with urinary incontinence (still a little damp over night, but was getting quite wet when I walked, when I last saw my urologist). I’m hoping that the recovery from incontinence isn’t at the expense of retention!

Thank you. I too hope your incontinence goes away! From my reading that is uncommon after aquablation. Something to bring up with my urologist.

Yes, I would be interested in any info you wish to share on how incontinence plays into aquablation.

I have a checkered history of urologist treatment, including 2 TURP and a UroLift implant. I understand that the TURP takes out one of the 2 sphincter muscles in our urinary tract (which creates retrograde ejaculation). I’m not sure if the aquablation temporarily interfered with the one remaining intact sphincter. Not sure.
Good luck with what you decide to do. BTW, almost no pain after the aquablation procedure, my only complication was a blocked Foley catheter.

Here is a clip on aquablation and its risk of causing incontinence. There is less than a 1 percent chance. They map sensitive areas such as the bladder neck. The procedure may have caused irritations that could continue to improve. Good luck!
“… Clinical studies demonstrate a high success rate in preserving ejaculatory function and urinary continence.
While most men recover without issue, some may experience mild, temporary discomfort like burning during urination for a couple of weeks.
In rare cases, there might be damage to the urinary sphincter or nearby nerves, potentially leading to temporary or permanent incontinence.
However, the overall rate of incontinence after Aquablation is very low, typically less than 1% in clinical trials. “

Thanks for this info. It’s certainly improving, now only an issue at night while sleeping, and then it’s not noticeably wet on my underwear, but a more subtle dampness- more akin to a light sweat. And it’s still improving, so I’m confident of eliminating the incontinence.

Hey guys,
6 months beyond aquablation.

Still have urgency, etc. though improved since before surgery. Trying Gemtesa to relax the bladder.

Also have no ejaculate except a small amount of clear fluid. Orgasm much less intense, though lasts longer. Not nearly as enjoyable, though the buildup to it is good. Urologist has proposed an injection of Coaptite to bladder neck to help with both intensity of orgasm and restore more normal ejaculation. Outpatient procedure with general anesthesia. I have also independently read that the procedure could help with urgency, etc. I wondered if any of you have had that injection and what your results were. Also wanted to throw it out there if it might be helpful to anyone.

My urologist has only done this once, but with great results for that one guy.

Best wishes to you all

@brianburns -- My surgery was on July 31, catheter three days, not much of a big deal really. Now, today is October 3 --- all this time, strong burning sensation at the tip when urinating but finally getting better this past week, pressure great, is and I can hit a wall urinal from twenty feet away, but twice a night I still have to get up, also some leakage here and there, and I better be near a bathroom at all times pretty much as it's really difficult to keep it in when I have to go. Sex-wise, zero change from before (as in, was good before and is good now in every sense) except that ... nothing comes out at the end, zero, nada, zilch -- the feeling of orgasm is good, normal, no change at all, but nothing comes out! Doctor says to wait and see - on all counts. But part of me is with you Brian -- it wasn't THAT bad before this surgery after all.